Behavior Change Interventions to Improve the Health of Racial and Ethnic Minority Populations: A Tool Kit of Adaptation Approaches

Milbank Quarterly - Tập 91 Số 4 - Trang 811-851 - 2013
Emma Davidson1, JJ Liu1, Raj B1, Martin White2, Mark Johnson3, Gina Netto4, Cecile Wabnitz1, Aziz Sheikh1,5
1Centre for Population Health Sciences, University of Edinburgh,
2Institute of Health & Society Newcastle University
3School of Applied Social Sciences De Montfort University
4School of the Built Environment, Heriot-Watt University
5Division of General Internal Medicine and Primary Care Brigham and Women's Hospital/Harvard Medical School

Tóm tắt

ContextAdapting behavior change interventions to meet the needs of racial and ethnic minority populations has the potential to enhance their effectiveness in the target populations. But because there is little guidance on how best to undertake these adaptations, work in this field has proceeded without any firm foundations. In this article, we present our Tool Kit of Adaptation Approaches as a framework for policymakers, practitioners, and researchers interested in delivering behavior change interventions to ethnically diverse, underserved populations in the United Kingdom.MethodsWe undertook a mixed‐method program of research on interventions for smoking cessation, increasing physical activity, and promoting healthy eating that had been adapted to improve salience and acceptability for African‐, Chinese‐, and South Asian–origin minority populations. This program included a systematic review (reported using PRISMA criteria), qualitative interviews, and a realist synthesis of data.FindingsWe compiled a richly informative data set of 161 publications and twenty‐six interviews detailing the adaptation of behavior change interventions and the contexts in which they were undertaken. On the basis of these data, we developed our Tool Kit of Adaptation Approaches, which contains (1) a forty‐six‐item Typology of Adaptation Approaches; (2) a Pathway to Adaptation, which shows how to use the Typology to create a generic behavior change intervention; and (3) RESET, a decision tool that provides practical guidance on which adaptations to use in different contexts.ConclusionsOur Tool Kit of Adaptation Approaches provides the first evidence‐derived suite of materials to support the development, design, implementation, and reporting of health behavior change interventions for minority groups. The Tool Kit now needs prospective, empirical evaluation in a range of intervention and population settings.

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Tài liệu tham khảo

10.1037/0278-6133.27.3.379

10.2337/diacare.20.10.1503

10.1136/jech.2005.035964

10.1046/j.1525-1497.1998.00001.x

Andrews J.O., 2007, Using Community‐Based Participatory Research to Develop a Culturally Sensitive Smoking Cessation Intervention with Public Housing Neighborhoods, Ethnicity & Disease, 17, 331

10.1038/oby.2007.49

Armstrong R., 2007, Guidelines for Systematic Reviews of Health Promotion and Public Health Interventions

10.1177/146879410100100307

10.2337/diacare.25.5.809

10.1046/j.1525-1446.2002.19502.x

10.1097/00012272-200404000-00004

10.1093/her/5.4.433

10.1007/s10464-010-9422-x

10.1037/a0027085

10.1136/bmj.302.6788.1338

10.1136/jech.2003.013466

10.1097/01.PHH.0000303410.66485.91

10.1016/S0738-3991(98)00132-3

10.2105/AJPH.89.9.1390

10.1177/1524839909348592

CASP (Critical Appraisal Skills Programme).2013.CASP Systematic Review. Available athttp://www.casp‐uk.net/(accessed August 19 2013).

10.1016/j.jneb.2012.05.013

CDC (Centers for Disease Control and Prevention), 2009, The Power of Preventing Chronic Disease: The Public Health Challenge of the 21st Century

10.1111/j.1744-6155.2008.00155.x

10.1080/14622200701587052

10.1111/j.1464-5491.2008.02639.x

DeBate R., 2004, A Qualitative Assessment of Charlotte REACH: An Ecological Perspective for Decreasing CVD and Diabetes among African Americans, Ethnicity & Disease, 14, S77

10.1016/j.apnr.2003.10.009

10.1016/S0027-9684(15)30940-8

Durie M.2004.An Indigenous Model of Health Promotion. Paper presented at the Eighteenth World Conference on Health Promotion and Health Education Melbourne April 27. Available athttp://www.hpforum.org.nz/~hpforum/symposium_2011/docs/hpfram/Te%20Pae%20Mahutonga%20IUHPE%202004.pdf(accessed August 19 2013).

EPHPP (Effective Public Health Practice Project).2013.Quality Assessment Tool for Quantitative Studies. Available athttp://www.ephpp.ca/tools.html(accessed August 19 2013).

10.1016/j.ypmed.2006.06.009

10.1016/j.ypmed.2004.06.018

Gaston M., 2007, Prime Time Sister Circles: Evaluating a Gender‐Specific, Culturally Relevant Health Intervention to Decrease Major Risk Factors in Mid‐Life African‐American Women, Journal of the National Medical Association, 99, 428

10.1111/j.1468-0009.2009.00562.x

10.1300/J013v38n01_06

10.1007/s10903-011-9526-x

10.5993/AJHB.25.2.6

10.1093/her/cyr108

Hawthorne K., 2008, Culturally Appropriate Health Education for Type 2 Diabetes Mellitus in Ethnic Minority Groups, Cochrane Database of Systematic Reviews, 3, CD006424

Hawthorne K., 1997, One‐to‐One Teaching with Pictures: Flashcard Health Education for British Asians with Diabetes, British Journal of General Practice, 47, 301

10.1080/01460860802475168

10.1542/peds.2005-0043

Karanja N., 2002, Steps to Soulful Living (Steps): A Weight Loss Program for African‐American Women, Ethnicity & Disease, 12, 363

10.1093/heapro/das053

10.1016/S0140-6736(09)60827-8

10.1111/j.1468-0009.2008.00521.x

10.1016/j.metabol.2008.06.003

10.1146/annurev.publhealth.25.101802.123000

10.1016/j.ypmed.2004.10.013

10.1017/S1368980099000348

10.1007/BF01320335

10.1007/s10900-009-9154-8

Lasco R.A., 1989, Participation Rates, Weight Loss, and Blood Pressure Changes among Obese Women in a Nutrition‐Exercise Program, Public Health Reports, 104, 640

10.1080/14622299050011181

10.3310/hta16440

10.1016/S1054-139X(03)00529-9

10.1080/08870446.2010.540664

10.1371/journal.pmed.1000097

10.1371/journal.pmed.1000217

10.1093/heapro/daq012

10.1177/1090198106294652

10.1006/pmed.1998.0400

10.1258/1355819054308530

Reinhard B. B.Miriam D.Scheller‐Kreinsen andA.Zentner.2010.WHO Tackling Chronic Disease in Europe: Strategies Interventions and Challenges.

Resnicow K., 1999, Cultural Sensitivity in Public Health: Defined and Demystified, Ethnicity & Disease, 9, 10

10.1037/a0015217

10.1037/0278-6133.24.4.339

10.1093/her/17.5.562

10.1177/109019810002700507

Robinson T.N., 2003, Dance and Reducing Television Viewing to Prevent Weight Gain in African‐American Girls: The Stanford GEMS Pilot Study, Ethnicity & Disease, 13, S65

10.1007/s10464-010-9371-4

Royce J.M., 1995, Physician‐ and Nurse‐Assisted Smoking Cessation in Harlem, Journal of the National Medical Association, 87, 291

Shaya F.T., 2006, Addressing Cardiovascular Disparities through Community Interventions, Ethnicity & Disease, 16, 138

10.1016/j.ypmed.2008.07.009

Stewart A.L., 2006, Diffusing a Research‐Based Physical Activity Promotion Program for Seniors into Diverse Communities: CHAMPS III, Preventing Chronic Disease, 3, A51

Story M., 2003, An Afterschool Obesity Prevention Program for African‐American Girls: The Minnesota GEMS Pilot Study, Ethnicity & Disease, 13, S54

10.1111/j.1468-0009.2011.00627.x

10.1177/1090198103259184

10.2105/AJPH.2005.066134

UK Department of Health, Physical Activity, Health Improvement and Prevention, 2004, At Least Five a Week: Evidence on the Impact of Physical Activity and Its Relationship to Health

University of Edinburgh Ethnicity and Health Conference.2011.Modifying Health Promotion Interventions to Meet the Needs of Ethnic Minority Groups. Conference Programme. Available athttp://www.cphs.mvm.ed.ac.uk/projects/ethnicity‐and‐health/downloads/confprog2.pdf(accessed June 21 2012).

10.1177/0145721708323642

10.1097/00006199-200509000-00009

10.1037/a0012968

10.1037/0278-6133.27.3(Suppl.).S271

10.1332/policypress/9781847423207.003.0005

White M., 1998, Effectiveness of Interventions to Promote Healthy Eating in People from Minority Ethnic Groups: A Review

Whitt‐Glover M.C., 2008, Pilot Study of a Faith‐Based Physical Activity Program among Sedentary Blacks, Preventing Chronic Disease, 5, A51

10.4278/ajhp.070924101

WHO (World Health Organization).2005.Preventing Chronic Diseases: A Vital Investment: WHO Global Report. Geneva: Department of Chronic Diseases and Health Promotion World Health Organization.

WHO (World Health Organization), 2008, Action Plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases

10.1007/s10900-008-9114-8

10.1093/phr/116.S1.68

10.1097/00003727-200604000-00006

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Milbank Quarterly

Tập 91 Số 4

811-851

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